Rising Phoenix Counseling Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RISING PHOENIX COUNSELING CENTER LLC

Practice address

245 S 84TH St Ste L101
Lincoln, NE 68510-2601

Phone

(402) 490-2378

NPI assigned

Feb 8, 2022

Last updated

Feb 8, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Davin Flatmo, PLMHPNPI 1649776006

Title

Owner

Phone

(402) 490-2378

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Davin Flatmo, M.A.

  • Mental Health Counselor
  • Lincoln, NE
  • NPI 1649776006
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1912651068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 N 95TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685073226",
            "telephone_number": "402-490-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 S 84TH ST STE L101",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102601",
            "telephone_number": "402-490-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING PHOENIX COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "FLATMO",
        "authorized_official_first_name": "DAVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-490-2378",
        "authorized_official_credential": "PLMHP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ripley
• Katherine Rippe
• Wendy Lea Rippe
• Joshua D Riser
• Michael T Riser
• Rising Sun Mental Health
• Maya Risling
• Roger Howard Riss, PSY.D.
• Rebecca Ristow, LMHP
• Nellie Ristvedt

• Mental Health Clinic/Center (Including Community Mental Health Center) in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.